| NPI | 1285673566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101250700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301405816) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-08-08 |